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Feb 16, 2019

Unexpected Blood Clot Post-Surgery - A Cautionary Tale

This topic is about an unexpected blood clot that developed months after ileostomy surgery. The person experienced increasing abdominal pain, which felt like severe hunger pangs, along with back and joint pain, and an unusual level of thirst. After a few days, a CT scan showed a significant clot blocking a vein that drains the intestines and spleen into the liver. The blockage was cleared through a procedure, and now the person is on blood thinners for six months, feeling sore and weak, and needing to slow down their daily activities. The surgeons suspect the clot might be a complication from the earlier surgery, and the person is seeking advice from others who might have had similar experiences.

Here are some helpful insights and advice shared by others:

1. Do not ignore new or worsening pain. Getting checked at the hospital quickly can be crucial. Many people emphasized that trying to tough it out can lead to serious consequences.

2. Common sites and symptoms of clots include:
- Leg clot (DVT): Look out for extreme pain, heat, and swelling. This needs immediate medical attention.
- Pulmonary clot (saddle embolus): Be aware of sudden shortness of breath or chest pain.
- Liver/portal vein clot: Often detected through a CT scan.

3. If you have inflammatory bowel disease (IBD) or have undergone major abdominal surgery, you might be at a higher risk for clots. It's a good idea to discuss preventive measures or early screening with your surgical team.

4. Blood-thinning treatments that people have used include:
- Heparin injections for short-term use.
- Warfarin or Coumadin for long-term use, which requires regular INR checks and being cautious about bleeding. It might also mean avoiding high-risk activities.
- Xarelto (rivaroxaban) is sometimes prescribed if other anticoagulants cause bleeding issues related to IBD.

5. Some people have had additional interventions, like an inferior vena cava (IVC) filter, especially if they experienced recurrent clots while in the hospital.

6. For recovery, many suggest taking things slowly, sticking to your medication schedule, staying alert for any new symptoms, and seeking medical help immediately if you notice pain, swelling, or breathing problems, even if it's been a while since the initial event.
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